Individual
ANNE C GIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1251 E MAIN ST, ANNVILLE, PA 17003-1643
(717) 867-4671
(717) 867-4981
Mailing address
409 SOUTH 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN655778
PA
363L00000X
Nurse Practitioner
SP013655
PA
363LF0000X
Family Nurse Practitioner
Primary
SP013655
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103050152
—
PA
Enumeration date
06/11/2013
Last updated
03/10/2021
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